Accepted for/Published in: Journal of Medical Internet Research
Date Submitted: Jan 2, 2025
Open Peer Review Period: Jan 2, 2025 - Feb 27, 2025
Date Accepted: Apr 15, 2025
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The Impact of Internet Hospital follow-up on the quality of life of patients with epilepsy
ABSTRACT
Background:
NONE
Objective:
This study evaluates differences in quality of life, anxiety, and depression between internet hospital follow-up and traditional outpatient follow-up for patients with epilepsy (PWE). It also explores innovative chronic disease management models for PWE.
Methods:
Eligible patients diagnosed with epilepsy were randomly assigned to the intervention or control group. Data were collected on demographics, clinical characteristics, and scores from the Quality of Life in Epilepsy-31 (QOLIE-31), Generalized Anxiety Disorder-7 (GAD-7), and Neurological Disorders Depression Inventory for Epilepsy (NDDI-E). The control group received traditional outpatient follow-up, while the intervention group was managed via the internet hospital. Changes in quality of life, anxiety, and depression were assessed using the same scales after six months.
Results:
The study included 100 control patients and 101 in the intervention group. Internet hospital follow-up significantly improved overall QOLIE-31 scores, anxiety, and depression (P < 0.05). Similarly, outpatient follow-up improved these assessment items, except for life satisfaction, which showed no significant change (P < 0.05). Notably, patients with epilepsy managed via internet hospital follow-up showed significantly greater improvements in overall QOLIE-31 scores, other dimensional scores (excluding cognitive and social functions), and depression improvement rates compared to those under outpatient follow-up (P < 0.05).
Conclusions:
Long-term follow-up through internet hospitals effectively improves the quality of life and reduces anxiety and depression in patients with epilepsy. Internet hospital management is recommended as a feasible approach for chronic epilepsy care in clinical practice.
Citation
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Copyright
© The authors. All rights reserved. This is a privileged document currently under peer-review/community review (or an accepted/rejected manuscript). Authors have provided JMIR Publications with an exclusive license to publish this preprint on it's website for review and ahead-of-print citation purposes only. While the final peer-reviewed paper may be licensed under a cc-by license on publication, at this stage authors and publisher expressively prohibit redistribution of this draft paper other than for review purposes.